SEC Form 4 · accession 0001209191-15-040447
BELK INC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Katherine McKay Belk
10% Owner
Period of report
May 6, 2015
Accepted (ET)
May 8, 2015 · 3:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001051771
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1,F2 | May 6, 2015 | J | 24,710 | $0.00 | A | 1,131,248 | D | |
| Class A Common StockF4 | May 6, 2015 | J | 56,936 | $0.00 | D | 0 | I | Trustee, GRAT #10 |
| Class A Common StockF3 | holding | — | — | — | 307,330 | I | Trustee, Charitable Remainder Unitrust | |
| Class A Common StockF5 | holding | — | — | — | 46,801 | I | Trustee, 2012 GRAT | |
| Class A Common StockF6 | holding | — | — | — | 198,505 | I | Trustee, 2013 GRAT | |
| Class A Common StockF7 | holding | — | — | — | 311,851 | I | Trustee, 2014 GRAT | |
| Class A Common StockF8 | holding | — | — | — | 276,881 | I | Custodian | |
| Class A Common StockF9 | holding | — | — | — | 100 | I | Spouse (deceased) | |
| Class A Common StockF10 | holding | — | — | — | 1,221,842 | I | Brothers Investment Company | |
| Class A Common StockF11 | holding | — | — | — | 444,212 | I | Milburn Investment Company | |
| Class B Common StockF12 | holding | — | — | — | 24,725 | I | Custodian |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F124,710 shares of Class A common stock were received by Reporting Person from Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010.
- F101,221,842 shares of Class A common stock are held by Brothers Investment Company, which corporation is equally owned by John M. Belk QTIP GST Non-Exempt Marital Trust, Wells Fargo Bank, N.A., Susan N. Jamison and Katherine B. Morris, Co-Trustees ("John M. Belk QTIP GST Non-Exempt Marital Trust") and the heirs of Thomas M. Belk. The co-trustees of John M. Belk QTIP GST Non-Exempt Marital Trust and Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris, heirs of Thomas M. Belk, share voting and investment power.
- F11444,212 shares of Class A common stock are held by Milburn Investment Company. Voting and investment power is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.
- F1224,725 shares of Class B common stock are held by Reporting Person as custodian of her minor grandchildren.
- F21,131,248 shares of Class A common stock are held in Reporting Person's name and/or Katherine McKay Belk Trust dated November 6, 2000, Reporting Person's grantor trust. Voting and investment power of the grantor trust is shared by Katherine McKay Belk, Thomas M. Belk, Jr., H.W. McKay Belk, John R. Belk and Katherine Belk Morris.
- F3307,330 shares of Class A common stock are held by Katherine McKay Belk Cook Charitable Remainder Unitrust. Reporting Person is the Trustee.
- F456,936 shares of Class A common stock were distributed by Katherine McKay Belk Grantor Retained Annuity Trust Number Ten dated April 26, 2010 to the beneficiaries. Reporting Person is the Trustee.
- F546,801 shares of Class A common stock are held by Katherine McKay Belk 2012 Grantor Retained Annuity Trust dated July 24, 2012. Reporting Person is the Trustee.
- F6198,505 shares of Class A common stock are held by Katherine McKay Belk 2013 Grantor Retained Annuity Trust dated May 30, 2013. Reporting Person is the Trustee.
- F7311,851 shares of Class A common stock are held by Katherine McKay Belk 2014 Grantor Retained Annuity Trust dated April 23, 2014. Reporting Person is the Trustee.
- F8276,881 shares of Class A common stock are held by Reporting Person as custodian of her minor grandchildren.
- F9100 shares of Class A common stock are held in the name of Reporting Person's husband (deceased), James Fielder Cook.